How to relieve headache after lumbar puncture? ?

After lumbar puncture, if cerebrospinal fluid (CSF) continuously leaks from the puncture site to the outside of the meningeal cavity, the pain-sensitive tissue at the base of the skull may be pulled due to the reduced pressure in the spinal canal, causing headaches. The preventive measures are as follows: A lumbar puncture needle with a small diameter is suitable for a 7-gauge puncture needle. We should strive to see the liquid in one needle, minimize the number of punctures, and avoid multiple punctures at the same site in a short period of time. (2) After the lumbar puncture is completed, the patient can be put on the prone position for 20 minutes, after the initial healing of the puncture site, the patient can lie down on the pillow for more than 6 hours. (3) Drink more water after puncture to increase the amount of fluid and supplement the leaking part of cerebrospinal fluid. Usually, drink no less than 1000 ml of water within the first 6 hours. (4) Once hypotensive headache occurs, the patient should be in bed rest for 3 to 5 days, and the patient can also take 2000 to 3000 ml of saline per day. If the headache is still not relieved, 1000-1500 ml of 5% glucose water and 5-10 units of vasopressin can be given intravenously, once a day, 2 to 3 times in a row. For severe headaches, a fine puncture needle can be used to pierce the subarachnoid space and inject normal saline into the subarachnoid space in stages, 5 ml each time, with 15-20 ml injected to relieve the headache immediately.

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